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Manager Patient Safety

  • CHI Saint Joseph Health System
  • Lexington, Kentucky
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About Us

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 138 hospital-based locations, in addition to its home-based services and virtual care offerings.

Our Mission

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values.

The posted compensation range of $40.95 - $60.91 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Job ID
2026-462394
Employment Type
Full Time
Department
Patient Safety
Hours/Pay Period
80
Weekly Schedule
Day
Shift
Day
Remote
No
Category
Risk and Compliance

Job Summary and Responsibilities

Job Summary / Purpose


Oversees the facility Patient Safety Program, including the Patient Safety Plan requirements for the collection,
analysis and reporting of events and patient safety data, investigation of events and near misses, and ensuring
all accreditation and regulatory requirements for patient safety are fully met. Participates in system office
initiatives and programs to mitigate identified risks at various facilities which result in reduced costs, reduced
adverse patient outcomes, and safer patient care. Coordinates claim team requests and collaborates with other
key stakeholders to implement learnings from claims. Oversees the coordination of all legal documents related to
hospital liability.

Essential Functions

Implements and oversees the organization-wide patient safety program and manages the reporting, data
analysis and evaluation as outlined in the Patient Safety Plan. Ensures regulatory and accreditation requirements
for patient safety are fully met. Provides patient safety education at new hire orientation and ongoing to leaders,
clinician presentations (e.g. event reporting expectations, culture of safety, patient safety initiatives, etc.)
Oversees the events reporting process, root cause analysis, and event investigation/review. Supports and
encourages harm reporting throughout the organization through a non-punitive just event reporting system.
Participates in system office initiatives and programs to mitigate risks identified at other hospitals, resulting in
reduced costs, adverse patient outcomes and ultimately safer patient practices/care. Prepares and presents
informative and actionable patient safety reports (to include patient's story of harm) to appropriate committees
to include high level presentations to leadership, Medical Executive Committee and The Board.
Receives and oversees responses to patient complaints/grievances and investigates to solve issues promptly.
Acts as an intermediary between patients, staff and family to provide clear communication between all parties
regarding any outstanding issues. Seeks input from patients/families involved in harm or close-call events as
appropriate.
Coordinates the requests from the system office claims team (related to litigated claims) and collaborates with
other key stakeholders to implement learnings from claims. Coordinates all legal documents related to hospital
liability, including the management of subpoenas, Summons and Complaints and other related activities
The job summary and responsibilities listed above are designed to indicate the general nature of the work
performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all

job responsibilities required of employees assigned to this job. Employees may be required to perform other
duties as assigned.


Job Requirements

Education and Experience

Bachelors Other upon hire or five (5) years of
related job or
industry
experience in
lieu of degree

Required and

Minimum of
three (3) years
of risk
management,
patient safety
and/or other
related
professional
experience

Required and

minimum of two
(2) years of
experience
managing/
supervising
employees
and/or vendors

Required and

Required/
Preferred And/Or

Experience with
the event
reporting
process, root
cause analyses,
and event
investigation/re
view

Required and

Experience with
patient
compliant/griev
ance
investigations
and prompt
resolution

Required and

Experience with
risk and the
implementation
of HPI and
cause analysis

Where You'll Work

Welcome to Saint Joseph Hospital, a 433-bed hospital founded in 1877 by the Sisters of Charity of Nazareth as the first hospital in Lexington, Kentucky. Led by Sister Euphrasia Stafford, the mission to provide compassionate care to the underserved is still carried out today. Saint Joseph Hospital holds over two dozen national ranks and recognitions and is recognized as a 2024 Best Place to Work in Kentucky. 

Saint Joseph is part of CommonSpirit Health, a non-profit, Catholic health system dedicated to advancing health for all people. With approximately 175,000 team members and 25,000 physicians and advanced practice clinicians. 

Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states.

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.

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